Finding Text
1. FINDING NUMBER: 2023 - 002 2. THIS FINDING IS: New 3. Federal Program Name and Year: Medicaid Administrative Outreach
4. Project No.: 23-4991-00 5. CFDA No.: 93.778
6. Passed Through: Illinois Department of Health and Family Services
7. Federal Agency: US Department of Health and Family Services
8. Criteria or specific requirement (including statutory, regulatory, or other citation): RECIPIENTS ARE REQUIRED TO SUBMIT ACCURATE DISTRICT-WIDE EXPENDITURE AMOUNTS FOR THE ADMINISTRATIVE OUTREACH CLAIM.
9. Condition: FOR TWO QUARTERS, AMOUNTS SUBMITTED AS DISTRICT-WIDE EXPENDITURES DID NOT MATCH THE DISTRICT'S UNDERLYING ACCOUNTING RECORDS. ONE QUARTER WAS UNDER REPORTED AND ANOTHER QUARTER WAS OVERREPORTED.
10. Questioned Costs: UNKNOWN
11. Context: A CLERICAL ERROR CAUSED INCORRECT AMOUNTS TO BE INPUT INTO THE CLAIM REPORTING SYSTEM.
12. Effect: DATA WAS NOT ACCURATELY SUBMITTED FOR THE ADMINISTRATIVE OUTREACH CLAIM.
13. Cause: DISTRICT PROCEDURES DID NOT DETECT OR PREVENT THIS ERROR.
14. Recommendation: DISTRICT SHOULD FOLLOW ESTABLISHED PROCEDURES TO RECONCILE AMOUNTS FOR CLAIMS TO DISTRICT ACCOUNTING REPORTS, AND HAVE CLAIM WORKSHEETS AND INPUT REVIEWED BY A SECOND PERSON PRIOR TO SUBMISSION.
15. Management's response: MANAGEMENT WILL REINFORCE PROCEDURES RELATED TO RECONCILING AMOUNTS BETWEEN UNDERLYING DATA, WORKSHEETS AND THE CLAIM REPORTING SYSTEM. ADDITIONALLY, REPORTS AND SUPPORTING DOCUMENTATION WILL BE REVIEWED BY A SECOND PERSON PRIOR TO SUBMISSION.